| NPI | 1043367303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY GLOVER Owner 229-928-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: GA 13766) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2012-01-30 |